Hubungan Antara Usia Gestasi dan Hasil Skor Apgar dengan Sepsis Neonatorum di Unit Neonatologi RSUP H. Adam Malik Medan

Abstract

Introduction: Neonatal sepsis is a health problem in neonates which is of serious concern globally and nationally. More recent research regarding neonatal sepsis by domestic researchers is needed as a reference in treating patients with this case. Gestational age and Apgar score are data that can definitely be identified in newborns. This allows them to be practical predictors for determining the risk of developing neonatal sepsis. Objective: To evaluate the correlation between gestational age and Apgar score results with neonatal sepsis and to determine the characteristics of neonatal sepsis patients at H. Adam Malik General Hospital, Medan. Method: This research is an analytical observational study with a retrospective approach. The data taken was secondary data from patient medical records at H. Adam Malik General Hospital Medan in January 2022 – June 2023 using a total sampling technique. The samples in this study were neonates suspected and proven to have neonatal sepsis totaling 91 and 49 patients respectively. The tests carried out in this study were the Chi-Square correlation test and the Mann- Whitney U mean difference test. Results: Test results of the correlation between gestational age and neonatal sepsis according to the onset of the event (p<0.05). Gestational age has a 4.4 times influence on the occurrence of early and late onset neonatal sepsis. Likewise, there was a test of the correlation between Apgar score results and neonatal sepsis (p<0.05). Conclusion: There is a correlation between gestational age and Apgar score results for neonatal sepsis. The majority of patients had a late onset, were boy, were born outside HAM Hospital, were born by caesarean section, were born with normal weight, were at full term of gestation, had congenital birth defects, and were sent home alive.